Phimosis or Excessive Foreskin: Your Urological Concerns

Is it phimosis or excessive foreskin?

1.
Based on your description, it seems that you may have a condition known as phimosis if the foreskin cannot be fully retracted when erect.
However, since you can retract it to the coronal sulcus without pain when flaccid, it may not be severe.
Whether you need a circumcision or not depends on whether you experience any discomfort or complications.
It would be best to consult a healthcare professional for a proper evaluation.
2.
If you have a sensitive glans (the head of the penis), it is common for it to be more sensitive during sexual activity, especially if it is usually covered by the foreskin.
During intercourse, the glans may remain partially covered by the foreskin if it does not retract fully, which can affect sensitivity.
3.
Regular cleaning of the glans can help reduce sensitivity over time, but sensitivity varies from person to person.
Maintaining good hygiene is important, and it may help you feel more comfortable during sexual activity with your partner.
However, individual experiences may differ, and sensitivity can also be influenced by other factors.

hen jin zhang, 10~19 year old female. Ask Date: 2016/04/28

Dr. Li Xinyi reply Urology

It sounds like there are no issues.
However, you are still developing, so it's best to wait until puberty is over to assess the situation.
Avoid excessive washing of the glans, as it can lead to injury and future complications.
Instead, it's recommended to avoid wearing tight and warm pants and to rinse with water more frequently.
Do not wash too vigorously; it's advisable to use only water for cleaning.
Minimize exposure of the glans to chemical substances.
After bathing, use a hairdryer to dry off, and make sure to wipe dry after urination while paying attention to cleanliness.

Reply Date: 2016/04/28

More Info

Phimosis, or excessive foreskin, can be a concern for many men, and understanding the nuances of this condition is essential for making informed decisions about your health. Based on your description, it seems that you have some degree of foreskin that covers the glans (the head of the penis) when flaccid, but you can retract it without pain. When erect, you mention that the foreskin can be pulled back to the coronal ridge, which indicates that you may not have a complete phimosis, as true phimosis would prevent retraction entirely.

1. Is this phimosis or excessive foreskin? Do I need surgery?
From your description, it sounds like you may have a condition known as "excessive foreskin" rather than true phimosis. True phimosis is characterized by an inability to retract the foreskin at all, which can lead to complications such as infections or inflammation. Since you can retract the foreskin without pain, it may not be necessary to pursue surgical intervention unless you experience recurrent infections, pain, or other complications. If you are concerned about hygiene or potential discomfort during sexual activity, it may be beneficial to consult with a urologist. They can provide personalized advice and discuss options, including whether a circumcision or other procedure is warranted.

2. Will the glans be sensitive during sexual activity?
Sensitivity of the glans can vary among individuals. If you have a significant amount of foreskin, the glans may be more sensitive due to less exposure to friction and stimulation. During sexual intercourse, if the foreskin is not fully retracted, part of the glans may remain covered, which can affect sensitivity. However, many men with excessive foreskin report that they can still enjoy sexual activity without discomfort. If you are concerned about sensitivity, some men find that gradually exposing the glans to stimulation can help desensitize it over time, making sexual experiences more comfortable.

3. Does cleaning the glans reduce sensitivity?
Regular cleaning of the glans is important for hygiene and can help prevent infections or irritations. While cleaning itself may not directly reduce sensitivity, it can help you become more accustomed to the sensation of having the glans exposed. Some men find that regular exposure and cleaning can lead to a decrease in sensitivity over time. However, this varies from person to person. If you find that sensitivity is an issue during sexual activity, you might consider discussing this with your partner and exploring different techniques or positions that can enhance comfort for both of you.

In conclusion, it seems that you may not have a severe case of phimosis, but rather an excessive foreskin that allows for retraction without pain. Surgical intervention may not be necessary unless complications arise. Sensitivity during sexual activity can vary, and regular cleaning may help you adjust to the sensations. It is always best to consult with a healthcare professional for personalized advice tailored to your specific situation. They can provide you with the most accurate information and help you make informed decisions regarding your urological health.

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